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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011968 <br /> DATE RECEIVED by EHD: September 28,2018 APPL#: PA-1800256 <br /> Referral Agency STAFF CONTACT MAX TOBECK PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, October 5, 201 S <br /> 1 t eor,S (p Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 27400 E HWY 26 ,LINDEN y APN: 06724006,06725009,-10,-Il, <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposalLater <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing pn <br /> density, location of house, wind direction, etc.... <br /> Public Water: ry Public Sewer: r') ^. <br /> Name of Purveyor n _ Name of System <br /> / 1 <br /> SUMMARY OR COMMENTS: (�{ { —/ 66 0 L C� j 0o1 <br /> r-�-e <br /> s la-( ryn b <br /> 40 VM11 b rqs a v <br /> I recommend: Approval El Denial ❑ Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> O S�L� <br /> to �' <br /> zsz— <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Che k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 September 28.2018 <br />